My student’s text books and all assessments/ exams are 100% electronic as are the proficiency boards she will be sitting for after graduation. The professors even have electronic presentations in addition to classroom lecture to supplement the information when they don’t get through it all in class. The most frustrating thing is when your laptop freezes during lecture while taking notes or during an exam, but they have IT people on hand to help at every exam. There are plenty of students doing other things during lectures, but those are the ones who fail out or are barely passing. Those who are not motivated in many difficult fields will not survive. Electronic selection is here to stay.